This thesis is concerned with the interventionell angiography to treat Morbus Osler patients with pulmonary malformations (PAVM).
The methods include imaging methods like CT, MR and angiography as well as endovascular and percutaneous transluminal embolisation,. Also the criteria, which give us indices for the disease Morbus Osler, get explained.
Goal of this work is to describe in detail the application of vessel closing methods in interventional angiography in the case of Morbus Osler.
For the process of embolisation vascular plugs, coils and liquid particles are being used.
The preperation of the patients and the possible symptoms that can be an indication for the illness Morbus Osler are described in this work.
The proceedings and the materials used in the treatment of PAVM are presented.
Furthermore possible complications which could occur during the treatment are discussed as well as the appropriate corrective measures.
The work at hand is a literature based paper.
Research of the individual embolization methods as well as the different embolization materials in current studies and professional articels allow a detailed description of current practices.
PAVM is diagnosed by the use of pulmonary arteriography. This technology provides an ideal portrayal of the pathological vessels in the lungs and as a result allows for optimal report generation.
Occlusion of the pathologic vessels by embolisation has become the standard treatment. The necessity of embolization is depending on individual experience and decided upon by the treatment team. The duration oft he treatment depends on the degree of pathological vessels and on potential complications during and after the treatment.
Resulting from this work is apparent that the use of transcatheter embolisation ist he most frequently used method for the treatment of pulmonary arteriovenous malformation. In this thesis is shown that the percutaneous transluminal embolisation has a lot of benefits and is the method least limitated by number of lesions or the size of the vessel. By means of this work the advantages and limitations of various emolisationmethods are compiled and the necessary material are described.